VISULAS 532s from ZEISS

Compact laser workstation

for state-of-the-art retinal therapy
 Delivering precise and
effective therapy.
ZEISS VISULAS 532S

// PRECISION
    MADE BY ZEISS

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 When darkness led to enlightenment,
when spontaneous retinal damage led to an
effective therapy.

Sparked by the solar eclipse in 1945 and

driven by visionary partners

ZEISS has been committed to precision, innovation and passion

for more than half a century in retinal photocoagulation. Ever
since the first photocoagulation with sunlight was tested
from the rooftop of a Hamburg eye clinic in 1949, dedicated
ZEISS employees have sought intense dialogue with visionary
ophthalmologists of their time. Dialogue that led, in 1957, to
the first commercially available photocoagulator in the world.
Simultaneously this marked the birth of contactless surgery on
the human eye.

ZEISS has been a strong driving force behind the focused

optical therapy of retinal diseases. Committed to this tradition,
the VISULAS 532s from ZEISS ranks seamlessly into a chain of
innovative solutions with one sole objective: precise, effective
and gentle therapy to preserve the eyesight and quality of life
of patients.

Light coagulator VISULAS Argon VISULAS 532s VISULAS 532s VITE

1957 1987 2001 2009

1949 1964 1998 2007 2010

Sun coagulator
Light coagulator 5000 VISULAS 532 VISULAS Trion VISULAS Trion VITE
by Prof. Gerd
Meyer-Schwickerath

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ZEISS VISULAS 532s
Mastering everyday life in the clinic.
Reliable. Competent. Superior.

Exceptionally precise beam control and treatment accuracy.

Extremely compact and reliable in daily clinical practice.
Outstandingly ergonomic and intuitive to operate. The
VISULAS® 532s from ZEISS is an impressive, powerful,
diode-pumped solid-state laser for controlled and gentle
photocoagulation of the retina.

Effective and reproducible treatment

The VISULAS 532s is setting performance benchmarks. The efficient solid-state laser
reveals its sustainable strength even in high-demand practices. The VISULAS 532s
has sufficient power reserves for any treatment strategy – whether it is with short
laser pulses in the millisecond range for a gentle grid treatment, or long pulses for
an effective retinopexy or even angioma sclerotherapy. Its built-in thermoelectric
cooling system ensures maximum temporal stability of the laser power and thus
meets the basic prerequisite for reproducible clinical results.

3D illustration of a single pulse coagulation

Fundus image of a single pulse coagulation

near the optic nerve head

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 Navigating with fingertip precision:
the electronic micromanipulator.

A laser workstation par excellence

In combination with the ZEISS Laser Slit Lamp LSL 532s, the ZEISS VISULAS 532s
becomes a perfectly integrated laser workstation.

The electronic micromanipulator allows for sensitive, synchronous laser beam

positioning and slit lamp illumination. The ParFocus zoom system delivers a homo-
geneous, sharply-defined and reproducible laser spot on the retina, which minimizes
heat-related side effects on the patient’s cornea. The active ClearView physician Removable control panel …
safety filter offers not only a unique and true-to-color slit lamp image, but also
reliably protects the physician, automatically swinging into position when the
therapy beam is activated.

Navigate efficiently and confidently

The VISULAS 532s has a language-independent color touch screen for convenient
and easy operation. The removable control panel can easily adjust to the viewing
angle of the user. The PowerPress control enables direct selection of the power
setting, without losing sight of the patient’s fundus.
… can be placed ergonomically
on the instrument table.

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ZEISS VISULAS 532s VITE
Expanding with your needs.
Fast. Flexible. Physician-controlled.

In addition to the conventional single-spot mode, the

VISULAS® 532s VITE from ZEISS can also operate in multi-
spot mode. A linear sequence of up to 12 laser pulses
can be triggered at the touch of a button on the slit lamp
joystick of the ZEISS VISULAS 532s VITE.

Significantly reduce treatment times

The automated micromanipulator reliably controls the fast progression of an entire
sequence of laser spots. Extremely precise, and long-term stable linear motors move
the laser beam in just a few milliseconds to the next pre-calculated target position
reducing conventional treatment time by 30 % to 60 %1).

Customize treatment strategies

3D illustration of a contoured VITE cascade
The active control on the trigger button of the slit lamp allows the physician to
maintain control over treatment progress at all times, with “fingertip precision”.
A slight rotation or movement of the joystick is all that is needed to adjust the
position of the aiming beam as treatment proceeds. Flexible and precise. A multi-
spot cascade allows the treatment strategy to be customized to the irregular
contours of the retina.

Intelligently streamline treatment workflows

The clear layout of the graphic elements on the control panel follows a logical
sequence and efficiently supports clinical workflows. Multi-spot treatment
parameters, such as spot spacing, number of laser spots per sequence, and angle
of orientation of a sequence, are homogeneously embedded in the VISULAS 532s
user interface and can be adjusted during treatment. The illuminated SPOTview
display allows the physician to continuously monitor the laser spot diameter, even
in darkened environments.
Fresh and pigmented laser lesions
(pulse duration: 20 ms) 2)

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Handle treatment interruptions with no stress
The physician may interrupt treatment at any time in an instant: with spot precision
within the current sequence and in a controlled manner. This ensures the physician
maximum precision and the patient optimum protection.

[sec]

73.4 s
60

Comparison of average treatment time per 100 laser

40 44.8 s lesions for PRP treatments in conventional single-pulse
mode of the VISULAS 532s (Group A: 35 patients)
20 compared with PRP treatments in multi-spot mode
of the VISULAS 532s VITE (Group B2: 37 patients).
0 Time saving of around 40 %1).
Conventional VISULAS 532s VITE
individual treatment treatment

1)
Roeckl A, Blum M: Multispot laser photocoagulation with the VISULAS 532s VITE:
A comparative study of 101 patients, Publication no. 000000-1839-880, LAS.2979, 06 / 2010.
2)
Roeckl A, Blum M: Pan-retinal laser photocoagulation with reduced pulse duration – first experiences
with linear spot cascades, Klinische Monatsblätter der Augenheilkunde, 2011 (DOI: 10.1055 / s-0031-1273432)

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ZEISS VISULAS 532s VITE
Results to be proud of.
Effective. Gentle. Comfortable.

The VISULAS® 532s VITE from ZEISS offers a clinically effective and gentle
retinal laser therapy for conventional treatment strategies, such as pan-retinal
photocoagulation, central grid coagulation and central focal coagulation.

The must-have feature: conventional therapy with single pulses

The VISULAS 532s provides effective single-spot treatment using laser parameters
that have established themselves as the evidence-based gold standard in accordance
with the results of major clinical studies for the treatment of diabetic retinopathy
and diabetic maculopathy (DRS, ETDRS, mETDRS, DRCR.net).

The exclusive add-on: conventional therapy with spot sequences

3D illustration of a circular VITE cascade
The particular advantage of the VISULAS 532s VITE: it is the only coagulation laser that
conforms to study-recommended laser settings, not only in the single-spot mode but
also in the multi-spot mode (e.g. 50 ms pulse duration or 50 μm laser beam diameter).
Initial clinical results prove that a significant reduction in treatment time can be
achieved – without compromising the gold standard.

The compelling highlight: gentle therapy with short pulses

With the VISULAS 532s, it is also possible in short-pulse mode to set laser lesions
efficiently and in a controlled fashion, with typical laser pulse duration between
10 and 40 ms – thanks to guaranteed laser output of 1.5 watt. Although a higher
laser output is necessary to compensate for the lower pulse duration, in order to
achieve a lesion of the same intensity, short-pulse photocoagulation is a gentle
alternative to conventional laser therapy. This is due to a significantly lower energy
load per unit per area2).

Combined grid / PRP treatment

with VITE cascades3)

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In addition, shorter laser pulses cause less damage to surrounding tissue,
since thermal conduction is not able to progress as far during the shorter pulse
durations, thus protecting the inner layers of the retina (see images). This
significantly enhances patient comfort2). Short pulses create sharply outlined
lesions with highly controlled heat propagation. Clinical research is currently
underway on the potential positive effects of the combination of short pulse
durations and small beam diameters.

Pulse duration: 200 ms Pulse duration: 20 ms

234 um

OCT B scans (Cirrus™ HD-OCT by Carl Zeiss Meditec AG) prove: A 20 ms laser pulse shows a less extensive lesion than a
200 ms pulse 3) (the beam diameter was 100 μm in both cases).

2)
Roeckl A, Blum M: Pan-retinal laser photocoagulation with reduced pulse duration – first experiences
with linear spot cascades, Klinische Monatsblätter der Augenheilkunde, 2011 (DOI: 10.1055 / s-0031-1273432)
3)
Dr. Fang Lu, West China Hospital, Sichuan University, Chengdu, China

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ZEISS VISULAS 532s
A credible team player in operative use.
Adaptable. Portable. Versatile.

The VISULAS® 532s from ZEISS is designed for universal use.

Due to its adaptable concept, the VISULAS 532s is ready to
use in a blink of an eye – for the outpatient retina clinic or
operating room. A wide range of applicators and high-quality
accessories compliment the high-performance, multifaceted
VISULAS 532s.

VISULINK 532 / U – compatible with many diagnostic slit lamps

The VISULINK ® 532 / U – consisting of optical laser link and mechanical adapter –
offers spot sizes of 50 μm to 1000 μm, and is equipped with a true-to-color physician
safety filter. It converts diagnostic slit lamps made by ZEISS, or e.g. Haag-Streit into
fully-fledged laser workstations in an instant. The easy to use mechanism allows fast
switching between different diagnostic slit lamps. To use the slit lamp diagnostically,
the VISULINK 532 / U can be swiveled out of the way.
VISULINK 532s / U in operation

LIO 532s / Trion – high contrast and reliable

The Heine indirect ophthalmoscope specifically is modified for the application
requirements of ZEISS: the LIO 532s / Trion is suitable for both the VISULAS 532s and
the multi-wavelength laser VISULAS Trion. It is light and stable and stands out in
particular due to its high aiming beam contrast compared to the retinal background.

LIO 532s / Trion indirect ophthalmoscope

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Technical data VISULAS 532s / VISULAS 532s VITE
Laser type Frequency doubled solid state laser

VISULAS 532s Wavelength

Aiming beam
Rated voltage and frequency
Pulse duration (single pulse)
Pulse duration (VITE option)
Pulse interval (single pulse)
Max. power
Cooling system
Laser console dimensions
Weight
Accessories
532 nm
Diode, 620 to 650 nm, adjustable brightness
max. 1 mW at the cornea
100 V to 240 V, 50 / 60 Hz
10 to 2500 ms, cw
20 to 50 ms
100 to 6000 ms
1.5 watts at the cornea
Thermoelectric
H 150 mm x W 300 mm x D 400 mm
(H 59 x W 118 x D 157) inches
14 kg (30.8 lbs)
LIO 532s / Trion indirect ophthalmoscope,
Instrument table, laser safety goggles, contact lenses,
laser warning light

LASER RADIATION
AVOID EYE OR SKIN EXPOSURE TO
DIRECT OR SCATTERED RADIATION
CLASS 4 LASER PRODUCT
ACCORDING TO
DIN EN 60825-1:2008
532 nm 3W cw
620-650 nm 5 mW cw
000000- 1149-623-03-GB- Vs02
LSL 532s / LSL 532s VITE laser slit lamp
Laser beam delivery Interlaced with slit illumination system
Laser treatment spot size continuously adjustable, 50–1,000 µm
(without contact lens), parfocal, larger spot sizes
depending on contact lens used
Illumination 12 V, 30 W brightness continuously adjustable
Slit adjustment Slit length: variable in steps of 1 / 3 / 5 / 9 / 14 mm
Slit width: continuously adjustable from 0 to 14 mm
Slit image rotation: 0°, ±45°, 90°
Magnification 5 x, 8 x, 12 x, 20 x, 32 x
Physician safety filter True-to-color, ClearView
Micromanipulator Servo-electric
Weight 11 kg (24.2 lbs)
Accessories Tonometer, co-observation tube, video documentation
equipment from the range of accessories for the slit
lamps SL120 and SL130

VISULINK 532 / U
Laser treatment spot size continuously adjustable, 50–1,000 µm
(without contact lens), parfocal
Compatible slit lamps ZEISS SL 115 Classic, SL 120, SL 130, 20 SL, 30 SL
Haag Streit 900 ® BM / 900® BQ
Physician safety filter True-to-color
Weight 0.4 kg (0.9 lbs)
Accessories Transport case for VISULINK 532 / U and VISULAS 532s
ZEISS VISULAS 532s – strong performance in the operating room
With the coagulation laser VISULAS 532s and the surgical microscope
OPMI LUMERA® 700 ZEISS provides surgeons with a perfect duo which interact
in harmony, guaranteeing successful surgical interventions in the posterior eye
segment. The variable view, font size and color contrast of VISULAS 532s display
are predestined for application in the operating room: all parameters are always
clear and distinctly legible – even from a distance and in a darkened environment.
VISULAS 532s and OPMI LUMERA 700
in the operating room
The precise centration of the aiming and therapeutic beam, combined with the
integrated slit illumination of the OPMI LUMERA 700, create an optimally illuminated
treatment field and thus guarantees confident operation, whether in the periphery
or in the vicinity of the macula. The fixed ClearView physician safety filter only
minimally increases the height of the view for the operator. The active physician
safety filter always provides effective protection when the laser is triggered. It gives
the operator unfiltered vision when the laser is not in use.

Laser endoprobe with protective cap

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 0297

Germany
07745 Jena
Carl Zeiss Meditec AG
Goeschwitzer Strasse 51–52

www.meditec.zeiss.com/contacts
www.meditec.zeiss.com/visulas532s
EN_31_010_0022II  Printed in Germany.  CZ-I/2017  International edition: Only for sale in selected countries.
The contents of the brochure may differ from the product’s current approval status of approval in your country. Please contact our regional representative for
more information. Subject to change in design and scope of delivery and as a result of ongoing technical development. VISULAS is a registered trademark of
Carl Zeiss Meditec AG or other companies of the ZEISS Group in Germany and/or other countries.
© Carl Zeiss Meditec AG, 2017. All copyrights reserved.